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1989, 11-15 Permit App 89004719 Pellet Stove
PARCEL NUMBER : STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT AREA: INFORMATION WORKSHEET fr (—? 501-- r:` wig 9g Zoe • LOT: ZONE: DISTRICT: F/A: WIDTH: DEPTH: R/W: OF BUILDINGS: I OF DWELLINGS: WATER -DISTRICT: OWNER: L'jC' IL G ADDRESS: rJv . ..•4�- _er5.��. _ •:. dY.!YrC" .. - . _.•'.nC T:,'T�. :Ti _ .. ; ray 1-;:'C•:++�i''tf CITY/STATE/ZIP: - -i 041a PHONE: CONTACT:. :r. ,- _ ,.::_• ;OPHONE: — SEL ACKS: — .RONT: -LEFT: RIGHT: PERMIT USE: • ************************************************************ ******* * ****** ...,,„..;:BUILDING -INFORMATION _ ^� Y r =ru. CONTRACTOR LICENSE- NUMBER= .�r ^r6:`; :_.... CONTRACTOR: cAer. u:::: `• . •..C-_.�'rV '.Y lam. • L•. PHONE: MAILING ADDRESS : ARCHITECT/ENGINEER: — PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF -USE: - DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: REQUIRED PARKING: X (WIDTH X DEPTH) SQ. FT.: HANDICAP: SEWER (Y/N): HYDRANT: 1 /PR CONTRACTOR LIC; : CONTRACTOR: MAILING ADDRESS: *************************************************************************** MECHANICAL INFORMATION CONTRACTOR LIC#: CONTRACTOR: CS /vy/u05 Al T70,c'4Z_- /. f t,7/. MAILING ADDRESS : /IT! ?l fj av c0 ice+ ( 7 5,6vouE ELECTRIC- ... _ GAS: OIL: CCALs.. `_`'`Wi00D:". SOLAR: HEAT PUMP ENERGY -CODE : -.- WSEC : NWEC: - SGC: PRESCRIPTIVE: - , CRIPT'IVE: -=�-=��POINT.. ` COMPONENT: •:..• � SYSTEMS� • ��:J:;�•�`;: . *************************************************************************** .___....� MECHANICAL FEES -. .. _ . .� -- -- ._....._....------- � _... ..PLUMBING FEES "�-: , . .:: ; -. ITEM:DESCRIPTION= PROCESSING k•EE -DUCTWORK . SYSTEM : WOODSTOVE/INSERT GAS -WATER -HEATER • NUMBER OF -._._. YES OR NO °' '` ': '= •'_PROCESSING FEE SINKS SHOWERS --- l GAS . HTG •EQUIP (10 o , 0 o o.) BTLT GAS!HTG EQUIP : +100',000 GAS .= PIPING ` - • t :OF UNITS HEATPUMP ,1- 100. BTU 4017500::BTU - t501;-1000 BTU HEATPUMP4O01-1750 -BTU . - ` HEATPUMP +1751 BTU REFRIG,-1-100 -BTU _ - -- REFRIG 101-500 BTU REFRIG_.-501-100-BTU - REFRIG 101-1750 BTU REFRIG . +1750 -BTU.- . • - AIR CONDITIONER 0-3 HP AIR CONDITIONER 3-15 HP AIR CONDITIONER 15-30 HP AIR.CONDITIONER 30-50 HP AIR CONDITIONER +50 HP VENTILATING FANS EVAPORATIVE COOLERS HOODS CLOTHES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10000 CFM AIR HANDLER 10000 CFM ,'' '�'ICITC8EI1 SINKS liakWASHERS `GARBAGE_ DISPOSAL 4a1PUTILITY -SINKS ELECTRIC --.WATER .EATERS' __.NUMBER 40F' . _ . _ ...YES OR NO 2 ,, r;4-2; FLOOR DRAINS _ _-- -FLOOR.=SINKS-_ _-. - . BAR SINKS ROOF -:DRAINS LAWN SPRINKLER --...- ..__ __.- SEWAGE - EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN